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“新一波”认知行为疗法的实证状况。

The empirical status of the "new wave" of cognitive behavioral therapy.

机构信息

Department of Psychology, Boston University, 648 Beacon Street, Sixth Floor, Boston, MA 02215-2002, USA.

出版信息

Psychiatr Clin North Am. 2010 Sep;33(3):701-10. doi: 10.1016/j.psc.2010.04.006.

DOI:10.1016/j.psc.2010.04.006
PMID:20599141
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2898899/
Abstract

This article reviews the current state of empirical research on the purported "new wave" of cognitive behavioral therapy (CBT). A particular emphasis is given to mindfulness-based treatments and acceptance and commitment therapy (ACT). Mindfulness-based approaches and ACT are evaluated with regard to their efficacy and comparison with traditional CBT. Deviations from CBT are explained within the context of theory, specifically in terms of the role of cognitions. These differences, however, are not irreconcilable in requiring a separate classification of "new wave" treatments. While subtle and important differences on the theoretical and procedural level might exist, available data do not favor one treatment over another, and do not suggest differential mechanisms of action that warrant a dramatic separation from the CBT family of approaches. Instead, the "new wave" treatments are consistent with the CBT approach, which refers to a family of interventions rather than a single treatment. Thus, the term "new wave" is potentially misleading because it is not an accurate reflection of the contemporary literature.

摘要

本文回顾了所谓的认知行为疗法(CBT)“新浪潮”的实证研究现状。特别强调了基于正念的治疗方法和接纳与承诺疗法(ACT)。本文评估了基于正念的方法和 ACT 的疗效,并将其与传统 CBT 进行了比较。在理论背景下,特别是根据认知的作用,解释了与 CBT 的偏离。然而,这些差异并非不可调和,不需要将“新浪潮”治疗方法单独分类。虽然在理论和程序层面上可能存在细微但重要的差异,但现有数据并不支持一种治疗方法优于另一种治疗方法,也不表明存在不同的作用机制,需要与 CBT 治疗方法明显区分。相反,“新浪潮”治疗方法与 CBT 方法一致,后者指的是一系列干预措施,而不是单一的治疗方法。因此,“新浪潮”这个术语可能具有误导性,因为它不能准确反映当代文献。

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本文引用的文献

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Acceptance and Commitment Therapy, Relational Frame Theory, and the Third Wave of Behavioral and Cognitive Therapies - Republished Article.接纳与承诺疗法、关系框架理论以及行为与认知疗法的第三次浪潮——再版文章
Behav Ther. 2016 Nov;47(6):869-885. doi: 10.1016/j.beth.2016.11.006. Epub 2016 Nov 10.
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